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Contact Information

LAURA K WINKLEBLACK, CRNP
1441 N 12TH ST FL 2
PHOENIX, AZ85006-2837
 Phone: 602-839-6040
 Fax: 602-839-3411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Orthopedic

163WX0800X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LAURA K WINKLEBLACK · (Female)

NPI # 1134446552
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/24/2010
Last updated 03/07/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP4521
  • PA License # 011021
  • PA License # RN594783
Hospital affiliation(s)
  • BANNER GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1111 EAST MCDOWELL ROAD
    PHOENIX, AZ 85006
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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